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General NPI Number Information
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NPI Number | 1154673846
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Entity Type | Organization
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Legal Business Name | DR FRANK KENDRICK DMD-HUNTERSVILLE PA
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 9625 NORTHCROSS CENTER CT SUITE: 101
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7348
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Country | US
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Telephone | 704-875-9075
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Fax |
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Provider Business Mailing Address
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Address Line | 9625 NORTHCROSS CENTER CT SUITE: 101
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7348
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. YAIMARA DIAZ
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Credential |
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Telephone | 704-875-9075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7221
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License Number State | NC
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